Dr Darci Renee Hazelwood, DO is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Owasso, Oklahoma. Her current practice location is
7333 N 199th East Ave, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 720-3711.
Dr Darci Renee Hazelwood is licensed to practice in Oklahoma (license number 4193) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417914961.
Physician's Profile
Full Name | Dr Darci Renee Hazelwood |
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Gender | Female |
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Speciality | Preventive Medicine - Aerospace Medicine |
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Location | 7333 N 199th East Ave, Owasso, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417914961
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 04/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971635863
- Enrollment ID: I20100712000487
Medical Identifiers
Medical identifiers for Dr Darci Renee Hazelwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417914961 | NPI | - | NPPES |
200215950A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4193 (Oklahoma) | Secondary |
2083A0100X | Preventive Medicine - Aerospace Medicine | 4193 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Darci Renee Hazelwood allows following entities to bill medicare on her behalf.
Entity Name | St John Urgent Care Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003918830 PECOS PAC ID: 5890898084 Enrollment ID: O20070308000190 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Darci Renee Hazelwood is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Darci Renee Hazelwood, DO 7333 N 199th East Ave, Owasso, OK 74055-5869 Ph: (918) 720-3711 | Dr Darci Renee Hazelwood, DO 7333 N 199th East Ave, Owasso, OK 74055-5869 Ph: (918) 720-3711 |
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